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Local Care Alliance (LCA) and Care Complex – VCSE Organisations to ‘Have Your Say’
Local Care Alliance (LCA) and Care Complex
Trafford’s LCA is an integral part of our new operating model for commissioning in Trafford. It is an alliance of provider organisations, community health, social care, primary care including general practice, mental health and VCS sector organisations which are committed to working in partnership, delivering a place-based approach to strategic commissioning and outcome focused models of care in Trafford, so that we can deliver better health and social care outcomes for the people of Trafford. High quality sustainable integrated community health and care services are at the heart of a vision for a new transformed model of health and care in the borough.
A key objective of the LCA is to support a shift in care from hospital to the community and reinvesting some of the resulting savings in more affordable and sustainable alternatives. The LCA will operate within national aims, regional ambitions and the Trafford context, delivering the right outcomes for the people of Trafford.
The LCA's Memorandum of Understanding now extends beyond our founding partners (Trafford Council, Trafford CCG, Pennine Care, Manchester Foundation Trust, Greater Manchester Mental Health Trust and Thrive Trafford) to primary care with Trafford Primary Health and Local Medical Council in an advisory capacity. Mastercall, our out-of-hours provider, also joined the alliance in September.
Sara Radcliffe Corporate Director of Commissioning for the CCG and the Council, continues to Chair our System Board on an interim basis while we appoint an independent Chair, bringing us into line with other LCAs in Greater Manchester. We expect an appointment to be made by December 2018.
The work programme for the LCA has gathered significant pace and maturity over the past few months. Commissioner and provider leads are now working collaboratively on a new offer contributing to system resilience for winter 2018 and that this work is now moving to implementation, if not already in place. Collectively we have agreed four themes to deliver benefits across the system which will impact on our performance over winter.
Theme 1 - Urgent Care Streaming at the Front Door
This theme will aim to support the Trust in the achievement of the 95% four hour target whilst also helping to support the flow of non-elective patients into the hospital. We recognise that we have a disproportionate number of patients attending ED inappropriately who could be managed in alternative settings. This theme aims to tackle that issue and to place Trafford, Manchester and MFT in a position where they are able to comfortably manage patients appropriately where they most frequently attend. We have agreed to explore a model to introduce streaming of patients from the front door of Wythenshawe Emergency Department (ED).
Theme 2 - Risk Stratification
This theme will focus on identifying patients at risk of hospital admission and coordinate their care closer to home, supporting them to stay at home longer. Our agreed focus for the winter period is to deliver a targeted, GP led programme of smoking cessation which will initially be for risk stratified patients in general practice with a diagnosis of COPD and a high rate of admissions, and also patients coming out of hospital with smoking cessation medication. Smoking cessation will see quick benefits for the person, potentially reducing their admissions by half.
Theme 3 - Continued and further improvement of the position around Delayed Transfers of Care (DTOC)
This theme will aim to continue and further improve the position of delayed transfers of care at Wythenshawe Hospital, which remains the outlier in terms of not achieving the 3.3% target compared to other acute sites - no more than 17 Trafford residents delayed per night in an acute bed.
Theme 4 – Trafford Enhanced Care Home Team (TECHT) Expansion
This theme will consider the expansion of the existing TECHT service to be available in all care homes, expanding on a stepped approach based on admissions data to indicate where TECHT can have the most impact.
Flu and pneumonia vaccine pathways within nursing and care homes will be proactively managed and reported to ensure that all residents receive the vaccines. This will also include vaccination programmes for staff and care home residents.
Anticipatory care planning will be rolled out for all care home residents to reduce the number of residents who are dying within a hospital setting rather than their preferred place of death.
Our next steps will be to review expected outcomes and how they will be measured. We are also planning a system wide vision workshop for November to start to explore what the alliance means for Trafford going forward.
We continue to explore dependencies and synergies within the wider System Resilience Plan for Trafford, ensuring the LCA is co-owned and co-designed with commissioners and providers in order to deliver on our system-wide objectives.
Kelly Stephenson is working as the programme lead for both the Local Care Alliance and the Care Complex, so please contact Kelly if you have any questions on either programme of work: email@example.com
If you are working or volunteering within a local VCSE organisation and would like to ‘Have Your Say’ and input from a VCSE perspective into the next LCA please email Dan Shelston at Thrive Trafford on firstname.lastname@example.org
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- Social Value
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Stronger Communities Board
The Strong Communities Board provides a bridge between the Trafford Partnership and the residents, communities and neighbourhoods of Trafford. It ensures that the Trafford Partnership is delivering effective and efficient services that reduce inequality and improve outcomes, whilst at the same time enabling residents, communities and neighbourhoods to take control, engaging and empowering them to deliver activity and achieve outcomes for themselves.
Jonathan Yates, CEO for Citizens Advice is the VCSE Representative for the Stronger Communities Board, and is providing updates via a short blog on the forum - Click Here to read Jonathan's Blog.
For more information about the Stronger Communities Board please Click Here.
- 1 year, 2 months ago
VCSE Northern Task Force
The next VCSE Northern Task Force Event will take place on Thursday 23rd November 2017 at 10am – 12noon, venue TBC
One Trafford Response – Progress Update and Expansion Plans
This is an essential event for voluntary, community, social enterprise and faith based organisations involved in the delivery of services in the Old Trafford and Stretford Locality in the north of the Borough.
Public Services in North Trafford are Being Transformed.
Come along and find out about the latest developments with Trafford’s place based integrated working and plans to expand this across the North of borough and beyond. Input into ‘live’ case studies, consider the implications for your organisation, and positive impacts this can create for Trafford’s communities and residents.
Thrive is helping to develop the VCSE Northern Task Force as a way of connecting in and helping to shape developments currently underway as part of public service reforms to bring services together, provide improvements in the way these are delivered for people and to help achieve better outcomes.
We do hope therefore that you can make it along so that we get as much VCSE involvement and input as possible. If you are able to attend please could you let me know if you have not already, by emailing me on email@example.com or calling 0330 123 9766.
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VCSE Strategic Forum 2017
Following a number of successful VCSE Strategic Forum's, we want to provide an online forum for further discussion and sharing of best practice for those who attended the meetings and for those who could not make the forums, to enable everyone to have their say and to take part in the discussions.
The next Trafford VCSE Strategic Forum will focus on Health and the Transformation Fund, which will be held on Wednesday 17th January 2018 at 12:45pm to 3pm at Venue TBC. To register your place please Click Here To Register
To get the discussion going the links to the presentations are provided here:
Trafford VCSE Strategic Forum Social Value - Group Working-notes-18-10-17
Trafford Social Value Guidance - Draft 2017
Community Cohesion Presentation from 19th July 2017
Trafford VCSE Strategic Forum - Community Cohesion - Group Working-notes-19-07-17
Commissioner responses to VCSE questions
Trafford VCSE forum - Devolution Taking Charge
Trafford Care Coordination Centre VCSE Presentation
Trafford Taking Charge Top News Story
Trafford VCSE Presentation June 2016
VCSE Strategic Forum Meeting Notes 29th June 2016
VCSE Strategic Forum Meeting Notes 2nd November 2016
Please let us know your feedback on any of the subjects discussed from the last meeting.
- 1 year, 2 months ago
The Volunteer Manager’s Network brings together those managing volunteers in Trafford. The network meets quarterly, with the next meeting planned for Monday 22nd January 2018 at 11am to 1pm - venue TBC .
Organisations or groups that have volunteering opportunities they want to advertise can do so on the Volunteering Opportunities page. If you have any questions or comments please let us know here in the discussion hub.
To view the minutes from the previous meetings please visit www.thrivetrafford.org.uk/volunteering-trafford/volunteer-managers-network.
If you currently manage volunteers in Trafford and would like to attend the next Volunteer Manager's Network meeting please email firstname.lastname@example.org or call 0330 123 9766 to book a place.
- 3 years, 6 months ago
Social Enterprise Place Trafford
Do you run a Social Enterprise in Trafford? Would you like support and advice on your business? Do you have best practice examples that you can share with others running a Social Enterprise or thinking about starting up?
Post your questions, and share your best practice to help others on here.
- 4 years, 5 months ago
- Local Care Alliance (LCA) and Care Complex – VCSE Organisations to ‘Have Your Say’